Question:

Dear doctor
I am a girl of almost 19 years, and has been under treatment in ca. 3 years now with specialtandlægerne in tooth-,mouth-and the department at Rigshospitalet in copenhagen. Before I was sent to the university hospital, I had an undershot mouth that I inherited from my father, and my teeth were very crooked. My upper was also very narrow. I was told by dentists that my teeth can only be corrected with an operation, and later with the braces. The operation should help to get more space for the teeth at the top. I made the operation and is now really happy with the result. I've got straight teeth, both the top and bottom, and I no longer undershot. But another problem has cropped up, and that is that my upper is a little bit skewed(almost can not be seen), ie. it's been a little over towards the right side. So it can be corrected with another surgery, but I said no to make the operation, because what's important was for me to get the straight teeth and not on my jaws is exactly right on top of each other. The dentist then said that if I had made the second operation, I will with the days might get undershot again, because the teeth at the top has nothing to hold onto(hope this is understandable).Is this true, will I really get the undershot again? I really need tandlægernes help here, because I do not want to go through another operation. Hope you will answer me, and thank you in advance.

Answer:

Dear Sara,

I think you should follow specialist advice. It is them who has you under consideration.

Questions answered by the dentist can be posted on the portal in anonymous form. However, we can not guarantee answers to all the questions and answers from the dentist can never replace dialogue or consultation with a private doctor. A reply through the letterbox must be seen as informational material.

In the past, orthodontics something that was reserved for children, and it was thought that it was too late to get fixed teeth when you were a little older. But it has the technological development and new types of braces made. Today you can get fixed teeth, regardless of age.

Treatment
The processing time depends on how much needs to be paid up on the teeth, and most can expect a processing time of approx. 12 to 18 months. In the period, one must regularly to the control at the dentist, where tandstillingen checked and your braces to be tightened up. One must reckon with a visit to the dentist each month.

After completion of treatment with hanger, one must count on having to make use of a shine to natbrug, in order to maintain the teeth in the new position. Some have also mounted a thin thread on the back of the front teeth.

Prices
The price for a treatment with real stålbøjle depends on how much work needs to be done and will typically be between 25,000 and 40,000 crowns of a practicing orthodontist in the orthodontics. For special cosmetic braces, one should expect an additional expense. A transparent ceramic braces will typically cost between 4,000 and 5,000 dollars extra per. jaw, and an interior hanger costs approximately. 20.000 dollars extra per. jaw.

Types of braces
The ordinary metal/steel braces, often called the “railway” in the vernacular, is still the most effective hangers. And thus one can expect to be døjes with the hoops in a shorter time, than if you choose one of the more cosmetically acceptable hangers. And it is also the cheapest treatment option.

There are both permanent types of braces, as stålbøjlen is a good example of that. And then there are also skinnere that is not being mounted fixed in the teeth. Most adults should expect that it will be necessary with a jammed hanger.

Metal/Stålbøjlen

Metal or steel braces
This is the traditional hanger, as most of us know of, which may not always specifically gender to look at. But it is still the most effective hanger. And with it will obtain you the quickest and typically also the cheapest treatment.

Guldbøjlen

Guldbøjler
Guldbøjlen does not differ significantly from the common steel braces, in addition to the color, of course, is different. It is probably a matter of taste for the individual whether you will make use of a guldbøjle instead of a regular stålbøjle.

Damon hanger

Damon braces
Damon is the name of a manufacturer of the hangers, who have further developed the traditional stålbøjle, so that there can be performed several treatment options. One of the main benefits for the patient is that they have developed a locking mechanism, so the patient is not hampered as much of the rubber bands or steel wires, which must maintain the continuous wire in place.

The new Damon 3 bracket is partially transparent, and can be seen in the right side of the picture.

Transparent hanger

Transparent ceramic braces
You can also get totally transparent ceramic braces which are not as visible as stålbøjlerne. There must, however, be expected a little longer processing time.

Inside hanger

Inside hanger
Another option is to place stålbøjlen on the back of the teeth. But it is an expensive and technically difficult solution.

Invisalign your braces

Transparent shine
You can also get transparent plastskinnere, which bears on the teeth most of the day's 24 hours. These skinnere so must be replaced periodically. This is a very expensive option, and the price is likely to be around 50,000 dollars of a practicing orthodontist.

You can read more about the transparent plastskinnere here: invisalign